Holley, Richard

Holley, Richard is an individual health care provider with primary practice located at 35100 Enchanted Pkwy S , Federal Way WA 98003-8314. He recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Holley, Richard can be contacted via phone (253) 874-4431.

Contact Information

Primary practice address
35100 Enchanted Pkwy S Federal Way WA 98003-8314
Phone: (253) 874-4431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60846549 Washington
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PH60846549 Washington
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60846549 Washington
Pharmacy Service Providers / Pharmacist 183500000X PH60846549 Washington

Profile Details

NPI number 1780076711
LBN Legal business name Holley, Richard
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2015
Last updated Nov 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780076711 NPPES
Washington MEDICAID 2122893

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